| NPI | 1023847704 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NJ 25MP00877800) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2024-07-30 |
| Last Update Date | 2024-12-11 |